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Objective: Mental distress is present in a significant proportion of people with epilepsy (PWE), with a negative impact across life domains. It is under-diagnosed and under-treated despite guidelines recommending screening for its presence (e.g. SIGN, 2015). We describe a tertiary-care epilepsy mental distress screening and treatment pathway, with a preliminary investigation of its feasibility. Methods: We selected psychometric screening instruments for depression, anxiety, quality of life (QOL) and suicidality, establishing treatment options matched to instrument scores on the Patient Health Questionnaire 9 (PHQ-9), along ‘traffic light’ lines. We determined feasibility outcomes including: recruitment and retention rates, resources required to run the pathway, and level of psychological need. We undertook a preliminary investigation of change in distress scores over a 9-month interval, and determined PWE engagement and perceived usefulness of pathway treatment options. Results: Two thirds of eligible PWE were included in the pathway with an 88% retention rate. At initial screen 45.8% of PWE required either an ‘Amber-2’ intervention (for moderate distress) or a ‘Red’ one (for severe distress). The equivalent figure at 9-month re-screen was 36.8%, reflective of improvement in depression and QOL scores. Online charity-delivered wellbeing sessions and neuropsychology were rated highly for engagement and perceived usefulness, but computerised cognitive behavioural therapy was not. The resources required to run the pathway were modest.Conclusion: Outpatient mental distress screening and intervention are feasible in PWE. The challenge is to optimise methods for screening in busy clinics and to determine the best (and most acceptable) interventions for screen positive PWE.

INTRODUCTION: Post stroke emotionalism (PSE) is a common but poorly understood condition. The value of altered brain structure as a putative risk factor for PSE alongside routinely available demographic and clinical variables has yet to be elucidated. METHODS: 85 patients were recruited from acute inpatient settings within 2 weeks of stroke. PSE was diagnosed using a validated semi-structured interview and standardised measures of stroke severity, functional ability, cognition, mood and quality of life were obtained. Neuroimaging variables (intracranial volume and volumes of cortical grey matter, subcortical grey matter, normal appearing white matter, cerebrum, cerebrospinal fluid and stroke; white matter hyperintensities; and mean cortical thickness) were derived using standardised methods from Magnetic Resonance Imaging (MRI) studies. The relationships between PSE diagnosis, brain structure, demographic and clinical variables were investigated using machine learning algorithms to determine how well different sets of predictors could classify PSE. RESULTS: The model with the best performance was derived from neuroradiological variables alone (sensitivity = 0.75; specificity = 0.8235), successfully classifying 9/12 individuals with PSE and 28/34 non-PSE cases. CONCLUSIONS: Neuroimaging measures appear to be important in PSE. Future work is needed to determine which specific variables are key. Imaging may complement standard behavioural measures and aid clinicians and researchers.

Supplemental material, sj-pdf-1-cre-10.1177_0269215520981727 for Psychometric evaluation of a newly developed measure of emotionalism after stroke (TEARS-Q) by Niall M Broomfield, Robert West, Allan House, Theresa Munyombwe, Mark Barber, Fergus Gracey, David C Gillespie and Matthew Walters in Clinical Rehabilitation

Supplemental material, sj-pdf-1-cre-10.1177_0269215520981727 for Psychometric evaluation of a newly developed measure of emotionalism after stroke (TEARS-Q) by Niall M Broomfield, Robert West, Allan House, Theresa Munyombwe, Mark Barber, Fergus Gracey, David C Gillespie and Matthew Walters in Clinical Rehabilitation

This article presents the authors' view on the transition towards a new paradigm in the study of the translation process based on synergy, collaboration, networking and the cognitive structure of the translator's mind. In the search for a hypothetical cognitive model of translation, a matrix model is represented to further enrich the interdisciplinary platform through understanding the conglomerate of the many sources involved in the act of translation and focusing on the role of the individual human being in translational cognition. The Map-Matrix Model comprises three levels of the translator's mental space: Neurological, Representational and Conceptual. Each level corresponds to the inheritance relations between mapping patterns, clusters and frames. The model will be presented and interrogated through the results of a practical Think-aloud protocols experiment in order to give a better insight into the translation efficiency in terms of information processing and a clearer assumption of the feasibility of the concept.

This article examines the work of the bilingual writer Andreï Makine, in particular his use of Russian literary allusions and motifs. Makine writes in French, and consistently embeds Russia literary and linguistic realia in his texts. In his depiction of the War, rural life and in his portrayal of women, Makine self-consciously references themes and imagery from Soviet war prose and village prose, the work of Soviet writers such as Andrei Platonov and Iurii Trifonov, as well as the work of classical writers such as Fedor Dostoevskii and Anton Chekhov. Far from contrasting French and Russian culture, Makine embeds Russian literary allusions within his French language texts, thus enriching modern French culture. В данной статье анализируется творчество русско-французского писателя Андрея Макина, в частности воспроизведение им разных мотивов и тем из русской литературной классики. Макин пишет по-французски, но постоянно включает в свои произведения литературные и языковые реалии из русских произведений IX и XX вв. Итак, среди них темы и мотивы из военной и деревенской прозы, авторское отношение к женским персонажам, ссылки на произведения таких советских писателей, как Андрей Платонов и Юрий Трифонов, а также вкрапление в свою тематику замыслов и концепций Федора Достоевского, Антона Чехова, и т.д. Макин не противопоставляет эти две культуры, а скорее внедряет в свои франкоязычные тексты русскую литературную традицию, тем самым глубоко обогащая современную французскую культуру.